National Provider Identifier Database

EDWARD H POTTLITZER OD PC
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

EDWARD H POTTLITZER OD PC
2911 CHAPEL HILL RD
SUITE 210
DOUGLASVILLE, GA30135
Phone: 770-949-4223
Fax: 770-949-4994
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for EDWARD H POTTLITZER OD PC

NPI Number 1124151907
Legal business name
LBN
EDWARD H POTTLITZER OD PC
Authorized official EDWARD POTTLITZER - (OWNER PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/13/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: OPT000700
  • GA Medicaid: 79949

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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